FirstCare Health Plans Uses WebFOCUS to Manage Rapidly Growing Business
公司规模
1,000+
地区
- America
国家
- United States
产品
- WebFOCUS
- Visual Discovery
技术栈
- Business Intelligence
- Data Warehousing
- Data Visualization
实施规模
- Enterprise-wide Deployment
影响指标
- Customer Satisfaction
- Productivity Improvements
技术
- 分析与建模 - 预测分析
- 分析与建模 - 实时分析
适用行业
- 医疗保健和医院
适用功能
- 商业运营
- 质量保证
用例
- 预测性维护
- 实时定位系统 (RTLS)
服务
- 数据科学服务
- 系统集成
关于客户
FirstCare Health Plans is a healthcare provider that has been serving the healthcare coverage needs of members across North, West, and Central Texas since 1985. The organization offers a wide range of HMO, PPO, ASO, and ancillary products through a variety of programs, including small and large employer plans; state, federal and teacher plans; government programs; new private market plans; and the health insurance marketplace. The company is committed to providing access to high-quality, affordable healthcare.
挑战
FirstCare Health Plans was facing a challenge due to its reliance on two different claims systems and data warehouses, disparate reporting systems, and a lack of Key Performance Indicators (KPIs) for finance, in-patient care, sales, pharmacy, and other functional domains. The company was experiencing a growing volume of claims that required manual intervention due to the expansion of its membership with new plans for the Texas Health Insurance Exchange. The company was looking for a solution that would not require an increase in internal staff members to support the growing workload.
解决方案
FirstCare Health Plans implemented Information Builders’ WebFOCUS business intelligence (BI) analytics environment to streamline its healthcare reporting systems to meet government guidelines. The company used WebFOCUS to create BI dashboards reflecting current claims volume, revenue, membership, expenses, medical loss ratios, and other important variables. The BI team also created key performance indicators (KPIs) that tie annual goals to revenue, membership, and administrative expenses. By incorporating goals into the dashboard gauges, managers can see how their departments are performing in relation to those goals. Red, yellow, and green indicators help them spot trends at a glance. An executive summary provides a high-level view broken down by department.
运营影响
数量效益
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